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Archive for the ‘OB/GYN’ Category

I went to my 20 week OB appointment on Monday and everything was good – still two babies with good heartbeats, etc…  I mentioned to her about my back pain and now I have this ridiculous Wrestlemania like pregnancy support belt to try and see if that works.  It lifts the weight off the nerves in your lower back.  The prenatal massage I had on Sunday helped my upper back / shoulders, but the sciatic pain is still there. 

I also mentioned to her that within the last few weeks I’ve been noticing my heart racing / beating hard / palipatating while at rest / etc…  So, she wanted me to call my PCP and see if they could fit me for a holter monitor or refer me to a cardiologist who could.  Apparently it’s common to have a heart murmur develop when pregnant – due to the 50% increased blood flow, it makes what may have been the slightest murmur that otherwise wouldn’t have been detected show up.
 
Luckily, my PCP could do everything there – so I took the hour drive yesterday and she listened to my heart and heard a very slight murmur, but didn’t think that would be the cause of my symptoms.  They hooked me up to an EKG and the EKG was normal except it showed my heart is working harder than normal – which, again, could be the pregnancy or something else.  So, next was to get hooked up to this holter monitor – it hooked onto my pants and had about 5 electrobes on my chest area.  It recorded all of my heart activity.  It sucked to sleep in (and carry around) but it was only for 24 hours.  She also did some bloodwork as being anemic, dehydrated, or elevated sugars can cause similar symptoms.  I was to drop the holter off today or tomorrow (will be tomorrow as work is just crazy and I’ve been at the doctors most of this week) and they will download the results, review it with the other stuff and my lab results, and we’ll know if there is anything to be concerned with or not.  I’m oddly not too worried – shocking, I know…  But it’s important to know if anything is going on.
 
I told my friend last night that I was going to write a book called Pregnancy:  The Shit No One Tells You That Could Happen.  I’m convinced no one tells you as then no one would want to get pregnant!  But seriously, I feel like I could collaborate with other moms like the All Knowing Julie and we could write both an informative and humorous book about the random crap that can happen when you’re pregnant – more than just morning sickness and weight gain.  Maybe it could help others stop with Dr. Google, too.

I did go to an outlet mall last night and got myself a pretty Coach diaper bag – I think both the Peanuts and I deserve it!  It is regularly $400.00 and I got it on sale for $125.00.  It’s the one thing I wanted for myself so I’m psyched!  They actually had a lot of different ones at the outlet which I was surprised as some don’t carry them at all.  I got one I thought my loving husband would look okay carrying, too 🙂

Love me some Coach

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
So, we shall see how the ol’ ticker is doing.  But, all in all, I’m feeling pretty good – Wrestlemania belt and all.
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Last week was a bit nutty with appointments and follow-ups.  But let’s get something off my chest (pun completely intended):

My boobs are now in the shape of torpedos.  I’ll admit to being large chested, especially for being a short girl, and I expected them to get bigger with pregnancy because DUH that’s what happens.  What I didn’t expect was for them to change shape – and to replicate that of a torpedo. 

I picture Chris as the Sailor

 
 
 
 
 
 
 
 
 
 
 
 
 
It’s really disturbing to look at so I’ve refrained from doing so.  It’s also making my bras fit awkwardly – you try and stuff a torpedo into a bra!  Anywho, that’s the latest body change that I wasn’t prepared for at this point – you’re welcome for the visual.
 
I put myself on modified bed rest last week – just to try and see if it would help at all.  I worked from my bed (being sick with a nasty, nasty cold helped make this decision) and only got up to get something to eat or pee.  Well, I’m not sure if it’s coincidental or not but the bleeding as of Saturday was almost non-existant and has continued that way ever since!  I’m not getting my hopes up because we all know how I am and why would something work in my favor…but of course I’m insane so the lack of bleeding has made me think “wait, is something wrong?”  We call that damned if you do, damned if you don’t
 
I went to my 16 week check-up on Friday and had the opportunity to discuss my father’s diagnosis of Factor V Leiden.  See, I knew he had this as it was diagnosed a few years ago but I COMPLETELY FORGOT.  So throughout this entire time during fertility treatment and then my pregnancy, I forgot to mention it to my doctors.  I looked through my fertility blood panel results to see if it was listed there as one of the tests, but I couldn’t find it.  Factor V Leiden is a blood clotting disorder and if I have it, it means injections daily throughout the rest of my pregnancy.  Lovely.  My OB ordered that test, along with a few others, and luckily I was able to get it done at the hospital since I was headed there for the second round of bloodwork for the first trimester screening (NT).  Before I headed to the hospital lab, we listened to their HBs, which were solid, and I requested a pelvic exam to check my cervix.  I’ve been so fearful that my body is going to fail these beautiful babies – I can’t get it out of my mind.  So, she did that and everything looked closed so I am good to go for another four weeks!
 
The bloodwork was kind of a pain in the ass – I walked all the way to the outpatient lab at the hospital only to be told that if I had this new order I had to walk ALL the way back to patient registration and register.  Oy.  So, I complied and the patient registration chick sat on a personal call for TWENTY MINUTES as I impatiently waited outside her door.  RIDICULOUS.  I was furious to say the least.  But, we got everything done and I headed back down to have EIGHT vials of blood taken.  Ugh.  We’ll know the results in about a week – hopefully the NT results are good odds and that I don’t have the Factor V Leiden or any of those other things she added.  *fingers crossed*
 
Other than that, I entered my 17th week yesterday and I’m feeling pretty good.  I am both excited and nervous for my anatomy scan next Tuesday.  I’m excited to find out just what is swimming around in there – but nervous they’ll find something wrong.  I can’t imagine there could be much more wrong since we started this journey – but here’s to keeping positive!  Chris can’t be here for the actual scan, so I’m having them write it down on a card and I’m going to bring it to a cupcake place near us and have them fill the cupcakes with the right color frostings!  He’ll be home that night (we hope), so we’ll cut into the frostings and see what we have!  I think that will be fun. 
 
Finally, let’s wrap up with a maternity clothes update:  petite lengths ARE NOT PETITE.  I had to bring the two pairs of jeans and a pair of regular length leggings to the tailors yesterday.  The petite lengths from both Motherhood and GAP were 2-3 inches too long.  Seriously?  I mean, what does petite mean to these people?  And I own petite length jeans from GAP and they’re just dandy.  Why longer for pregnant chicks?  So weird and extremely annoying.  Of course with the holiday, they couldn’t get me everything back by tomorrow so I begged and pleaded and I’ll have one pair of jeans back tomorrow and the rest next week.  At least I can wear more than yoga pants to Thanksgiving…
 
In the end, Happy Gobble Gobble Day!  I know what I’ll be giving thanks to this year!

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My OB’s office called yesterday and my urine from Monday came back positive for Group B Strep.

The good news is – there is no risk to the babies now and it’s treated with antibiotics so if I have regular strep or a sinus infection (I’ve been feeling like absolute crap since Tuesday), we’ll kill two birds with one stone.

The bad news is – I’ll be on IV antibiotics when I deliver to help mitigate risk to the babies.  There is no risk if I have a c-section and my water doesn’t break.  But, there is risk if I deliver vaginally (can you imagine delivering back to back babies – I sure as hell can’t!) or if I have a c-section after my water breaks.

Apparently, 20-25% of pregnant women have this but it’s usually detected during a routine check late in the third trimester.  Mine was caught almost on accident as my urine had some traces of blood in it on Monday.  My OB assumed it was likely because I’m still spotting, but sent it out for culture anyways.  I have no symptoms of the Group B Strep (there aren’t many, but it sometimes causes bladder infections) so maybe I’m just a carrier?

Just another red flag on my ever evolving high risk file… Oy.  So, I’m on antibiotics now (which reminds me, I have to take my next dose) and then we’ll see what the future holds.  Sometimes I feel like I’m a science experiment – and it will be a damn miracle if these babies make it out healthy…

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Well, it’s RLP!  She told me she wanted to have me come in for an exam quickly because of everything I’ve gone through, so that was nice.  She said there is a ligament that runs basically from your hip down into the lips of your vagina and that’s the one that is giving me the problem.  Apparently it can be even more strong when you’re pregnant with multiples (yay).  I told her I didn’t care so much about the pain, but wanted to be sure there wasn’t more going on that just that.  She did an exam and my cervix is still long and closed – I’m still spotting, but it’s brown so we’re both just hoping that stops soon.  She listened to both HBs and they were super strong and stable and we could hear them moving all around.  She said that these babies better be good when they come out because of all they’ve put me through so far – and I told the babies they better listen to the nice doctor!!! 

I told her I felt like a stranger in my own body – that no one tells you pregnancy is this bizarre.  I go again in about two weeks for my normal 16 week check and she told me to keep the appointment – there’s never enough monitoring!  Oh and I gained 3 lbs. since my last appointment – so I have a net gain of 1 lb.  I think my stomach has taken from the rest of my body, then, as there is no buttoning my clothes!!!

I’m also coming down with something – my throat is KILLING me and I’m hoping it’s not strep.  I know there are some meds that they deem “safe” for pregnancy, but I still get too nervous to take them.  I think I’ve taken 3 Tylenol in the last 15 weeks and I’m not even thrilled about that.  I do know throat lozenges are okay, so I’ll be running out to the store to get some after work. 

I’m also suffering from wicked heartburn, like the grab-your-chest-like-it’s-on-fire kind.  Again, all of this I’m fairly confident is some sort of karma payback for not having morning sickness or a ton of weight gain.  It shouldn’t surprise me that I get most of the stuff people don’t really talk about – that’s pretty much how I roll…

I did finally order some maternity jeans.  The Be Bands just aren’t cutting it anymore and they’re becoming more annoying than anything.  I’ll still use them for some stuff and will keep them for postpartum as needed, but I need a solid pair of jeans (or two) that are true maternity.  I splurged and paid a ridiculous amount *cougheightydollarscough* for a pair of GAP long and lean maternity jeans since a) that is my favorite GAP brand of jeans and b) they have lengths and my shrimpy ass needs things in petite.  I also bought a pair of Motherhood jeans that were on sale for $19.99 to see how those are.  In the end, if I hate either or both – they get returned and we go back to the drawing board.

Speaking of maternity jeans and clothes – can we discuss something for a second?  Why are there skinny maternity jeans?  Not skinny as in size, but skinny as in style?  I guess if you’re a size 00 before getting pregnant – maybe that’s okay but really, should pregnant chicks be rocking skinny maternity jeans?  Along this theme – why are there so many shirts with horizontal stripes?  Are we trying to really put the emphasis on the growing bellies?  I mean – my boobs were big to begin with, nevermind now, and they’ll look like torpedos if I stick a horizontal striped shirt on!  I just don’t get it – I found myself perusing the maternity sections of online retailers and shaking my head.  Maternity thong underwear – necessary?  I don’t know – maybe it’s because I’m not a rail to begin with (but I’m not obese, either – I’m average), but this just seems ridiculous.  I don’t feel sexy, nor do I give a shit about feeling sexy while I’m growing two little humans inside of me.  I don’t need thongs to wear with my skinny jeans and horizontal striped shirt – I need cute, flattering, and comfortable please.

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I’m celebrating my 15 weeks of pregnancy by going to see my OB at 11:45am today – I’ve had some odd pains in my vaginal / groin area and I’m unsure if it’s normal round ligament pain (RLP) or if it’s something more serious.  I can only equate it to feeling like I’ve rode a bike with an uncomfortable seat.  The pain comes and goes – mostly when I move, but it also bugged me while I was trying to sleep last night.  My biggest concern is incompetant cervix…but I’m hopeful it’s just RLP and stretching.  Anyone ever experience something like this?  Like I said, as I’m sitting now, I don’t feel anything…but if I get up to move or whatever it’s a wicked sharp pain. 

I’m just glad I have such a great group of OBs.  I spoke to the nurse this morning and as soon as I mentioned “bleeding for 6 weeks”, she reviewed my chart closer and said “I’m going to pass this message to the doctor”.  They called me about 20 minutes later and asked me to come in so I can be examined to make sure all is well.  I truly, truly hope everything is okay…

It’s also amusing that the bleeding has just become my new normal.  It’s there and not gone, but it’s light for the most part.  It’s more annoying than anything as I just want it to go away.  I’m seeing the OB we saw the last time I went in for my 12 week appointment, and that makes me happy.  I really liked her and trust her and am glad that she wants to check and make sure all is good in the peanut hood.  I said my pregnancy prayer and am hopeful that this is just some normal stretching and whatnot from the babies.

But, I made it 3 weeks without a problem appointment – I think that’s a record!

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I spent another 7 hours at the ER on Saturday due to bleeding.  The good news is that both babies measured on target, had solid heartbeats, and were moving all around in there.  You could even see the tiny bones in their spine – they looked like little halloween skeletons on the screen!  The bad news is – the bleed is still there and hasn’t been reabsorbed.  They called it a subplacental bleed this time and said it was focused on Baby A.

Yesterday, I had my monthly OB appointment and came prepared with my husband and a list of questions a mile long.  (You’ll love this one: when I got my OB card back that tracks everything my OB had left the sticky note in there that the nurse had written that said “Has lots of questions”…I might start getting a reputation at this practice!)  This was my meeting of the 3rd OB other than my main one and I absolutely LOVED her. She sat right down and allowed me to pepper her with my questions (and even my husband slid a few in there).  Basically, she didn’t have the actual prints of the u/s from Saturday but had the report and she thinks it’s the same bleed and not another one – but doesn’t know for sure. Apparently, perigestational bleeds / subplacental bleeds / and SCHs are essentially the same thing.  Who knew?  It is about 3cm at it’s longest length and it’s kind of an oblong shape (which makes me think it’s the same since that is how the original one was).  She repeated what I assumed and that there is absolutely nothing that can be done, nothing can be taken or stopped as far as medicines, vitamins, and supplements go, no amount of bed rest would help, and it’s a wait and see game.  I don’t like waiting and seeing – I just want it to stop already and for everything to be okay.  I’m not asking much, I don’t think.

Essentially, the placentas are generating new cells all the way through Week 14 (I’m currently 12w1d).  As the new cells generate, they dig into the uterine wall.  This is what can sometimes create these bleeds as they continue to dig and implant. She said that the bleeding should stop on or about Week 14 as that is when the cells stop generating and the placenta just increases in size at that point.  She said by Week 12, you’re miscarriage rate is less than 1% – without bleeding.  Since I was diagnosed with bleeding at Week 9, my miscarriage rate was at 50% (TOTALLY didn’t know that one…) but that with each week that goes by, it drops.  So I’m probably around the 40% mark now – but there’s no black and white formula for it.  That is a scary number that I don’t like – but what we’re holding onto is that both babies have been thriving so far and don’t appear to be affected by all the bleeding.  Our new target is 14 weeks – 2 weeks from yesterday. And with that, we likely will hold off announcing the pregnancy more broadly until then.  As I’ve said, it’s always an exciting thing to announce – but telling the story of a loss is much, much harder.  I’m being a little extra cautious about it – but I think I have to at this point.  Although, my intent to not buy maternity clothes yet may have to be waived as I’m running out of yoga pants…and none of my jeans fit.  I did the rubberband trick last night with a pair of jeans so I could go out to dinner.  Oy.  And to think I’ve actually LOST 2 lbs. since my first OB visit?!  Must be from stress as I’m eating and my pants DO NOT fit. 

In more positive news, we got to hear the heartbeats for the first time yesterday!!  That was totally awesome and I’m so glad my husband got to hear that before he leaves for his six weeks of training.  Baby B was the first one and you could hear him / her moving, too – not shocking as that baby never stops moving I’m convinced.  Baby A’s was a little slower – but we’ve already coined him / her with being lazy, so not surprising there. She also checked my cervix as the hospital indicated I did not have a mucus plug (something I thought was essential, but apparently it isn’t) and everything is sealed up nice and tight.

So – we are status quo right now.  No heavy lifting, complete “pelvic rest”, and just try and lie low.  If the red blood returns or the flow increases, I have to go back.  Last night, the flow was probably the heaviest it has been – but I just don’t think it makes sense to call today since I was just seen yesterday and I have my first trimester scan on Thursday, so I’ll get to see them again (with my lovely SIL who has agreed to come along!) and hopefully they’ll still be looking good.  If you read this and are the praying type, please keep the peanuts in your prayers.  We all need them right now!

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I’m afraid to say there “isn’t much to report” because when I did that last week I started bleeding again.  But, here I am in my 11th week and we’re hanging in there!  I’ve been dealing with awful, terrible old Crinone discharge earlier in the week but now that seems to be gone but I’m still spotting a dark brown discharge (blood).  It’s seriously the grossest thing ever.  The Crinone stuff was almost black and gross and just YUCK.  I would typically be nervous since there was a lot of it and it was black and yucky but I assume it’s just old build-up since it’s been over a week since I stopped the Crinone.  I have been really uneasy the last few days, though, because I’m still sort of bleeding.  It’s only when I wipe and it’s not red and no cramping so I’m trying to keep it all in perspective.  Of course Googling “SCH” or “perigestational bleed” and reading some of the negative stories doesn’t help – but there are a lot of positive ones, too.  It was funny to find my own blog come up in one of the searches!

Less than a week and I get to see the babies again – my NT first trimester scan is scheduled for Thursday and I’m looking forward to it.  I think if everything looks good on Thursday we’ll may go “public” with our news.  I was planning on it but with the bleeding still going on, I’m now unsure.  My SIL is coming with me – I thought it would be nice to ask her to come along and I didn’t really want to go to yet another u/s alone.  I also have my monthly OB appointment on Monday – not sure what they do other than weigh me, take my vitals, and ask how things are going?  Maybe they have a doppler in that office and they’ll check for HBs?  No clue. 

Chris leaves for training for 6 weeks on Tuesday afternoon.  I am scared and nervous and even a bit looking forward to it if we’re being honest. 😉  I know after like 2 weeks I’ll be dying for him to come back, but I am mostly looking forward to my house remaining clean and not struggling to fall asleep next to a snoring mess.  His dad is going down for the first few days with him, which is nice since I couldn’t make it.  It’s going to be tough down there for him – class 6 days a week, learning a whole new company, new SOPs, new flying regulations (FAR Part 121 if you were curious), PLUS a new plane.  We still don’t know what he will be assigned to – either the Airbus 320 or the Embraer 190.  We have been receiving packages of information from JetBlue and it really seems like we made the right decision for our future.  The pay cut and reserve schedule will BLOW for a few years, but we’ll adjust and we’ll survive. 

One thing we’re trying to decide on is if we stop the COBRA coverage we’re currently paying $900.00 a month for to maintain the fertility coverage.  It’s like a safety blanket if, god forbid, something happens with this pregnancy – but it’s a LOT of money to be putting out, especially considering the pay cut.  The benefits with JetBlue are really good – they just don’t have fertility coverage.  So, if something did happen, we’d be paying all out of pocket for subsequent treatments.  Then again, once I’m into my 13th week or so and officially in my second trimester, that risk goes so far down.  I don’t know – I’m torn and really unsure of what the right decision is.  We have 30 days after his hire date to make a decision – that will bring us to November 19th and we’re paid up on COBRA through the end of November.  I’ll be 16 weeks as of the 14th.  I guess we’ll wait and see.

Still having a pretty low symptom pregnancy – pure exhaustion and peeing a lot.  The sore boobs that I thought were induced by the Crinone (and probably were to some extent) are still here so we’ll add that in the mix.  I started having some crazy, vivid dreams which I heard is also a symptom.  Still no sickness – not even once!  If it wasn’t for the perigestational bleed, I would say I am a pretty good pregnant gal – just took some modern technology to get me here.  I’ve been good about what I’m eating – I actually think other than some fertility treatment weight gain (which happened prior to my positive test where I couldn’t work out), I’m maintaining a 1 lb. gain.  I can totally see everything shifting, though – and Chris said my B belly is getting bigger on the top (I’ve always had a pooch in my lower abdominal region – even when I was skinny!) and I can see it, too.  I think it will be merging soon and will become a D belly.  Until then – no belly shots! 🙂

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